ZACHARY RYAN SHIELDS

MATTOON, IL
NPI1760137921
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-02-16
Last Update Date2024-01-31
Business Address
ZACHARY RYAN SHIELDS PA-C
1000 HEALTH CENTER DR
MATTOON, IL 61938-4644
Phone number: 217-238-4960
Mailing Address
ZACHARY RYAN SHIELDS PA-C
PO BOX 372
MATTOON, IL 61938-0372
Phone number:
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